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Two-step immunoscintigraphy for non-small-cell lung cancer staging using a bispecific anti-CEA/anti-indium-DTPA antibody and an indium-111-labeled DTPA dimer.

Identifieur interne : 003F93 ( Main/Exploration ); précédent : 003F92; suivant : 003F94

Two-step immunoscintigraphy for non-small-cell lung cancer staging using a bispecific anti-CEA/anti-indium-DTPA antibody and an indium-111-labeled DTPA dimer.

Auteurs : RBID : pubmed:9098191

English descriptors

Abstract

Immunoscintigraphy (IS) using anti-CEA F(ab')2 monoclonal antibody (MAb) is useful for improving mediastinal staging of nonsmall cell lung cancer (NSCLC), but the technique was limited because of an insufficient contrast between tumor and normal tissues. The aim of this study was to determine if the method could be improved by a two-step method which uses a bispecific anti-CEA/anti-di-DTPA antibody (Bs-MAb) and 111In-labeled di-DTPA-tyrosyl-lysine bivalent hapten.

PubMed: 9098191

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Le document en format XML

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<title xml:lang="en">Two-step immunoscintigraphy for non-small-cell lung cancer staging using a bispecific anti-CEA/anti-indium-DTPA antibody and an indium-111-labeled DTPA dimer.</title>
<author>
<name sortKey="Vuillez, J P" uniqKey="Vuillez J">J P Vuillez</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Nuclear Medicine, CHU de Grenoble Centre Catherine de Sienne, Nantes, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Nuclear Medicine, CHU de Grenoble Centre Catherine de Sienne, Nantes</wicri:regionArea>
<placeName>
<region type="région">Pays de la Loire</region>
<settlement type="city">Nantes</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Moro, D" uniqKey="Moro D">D Moro</name>
</author>
<author>
<name sortKey="Brichon, P Y" uniqKey="Brichon P">P Y Brichon</name>
</author>
<author>
<name sortKey="Rouvier, E" uniqKey="Rouvier E">E Rouvier</name>
</author>
<author>
<name sortKey="Brambilla, E" uniqKey="Brambilla E">E Brambilla</name>
</author>
<author>
<name sortKey="Barbet, J" uniqKey="Barbet J">J Barbet</name>
</author>
<author>
<name sortKey="Peltier, P" uniqKey="Peltier P">P Peltier</name>
</author>
<author>
<name sortKey="Meyer, P" uniqKey="Meyer P">P Meyer</name>
</author>
<author>
<name sortKey="Sarrazin, R" uniqKey="Sarrazin R">R Sarrazin</name>
</author>
<author>
<name sortKey="Brambilla, C" uniqKey="Brambilla C">C Brambilla</name>
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<date when="1997">1997</date>
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<term>Antibodies, Bispecific (diagnostic use)</term>
<term>Carcinoembryonic Antigen (analysis)</term>
<term>Carcinoembryonic Antigen (immunology)</term>
<term>Carcinoma, Non-Small-Cell Lung (blood)</term>
<term>Carcinoma, Non-Small-Cell Lung (pathology)</term>
<term>Carcinoma, Non-Small-Cell Lung (radionuclide imaging)</term>
<term>Carcinoma, Non-Small-Cell Lung (surgery)</term>
<term>Haptens (diagnostic use)</term>
<term>Humans</term>
<term>Immunohistochemistry</term>
<term>Indium Radioisotopes (diagnostic use)</term>
<term>Lung Neoplasms (immunology)</term>
<term>Lung Neoplasms (pathology)</term>
<term>Lung Neoplasms (radionuclide imaging)</term>
<term>Lung Neoplasms (surgery)</term>
<term>Mediastinum (radionuclide imaging)</term>
<term>Neoplasm Staging</term>
<term>Pentetic Acid (diagnostic use)</term>
<term>Radioimmunodetection (methods)</term>
<term>Sensitivity and Specificity</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en">
<term>Carcinoembryonic Antigen</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="diagnostic use" xml:lang="en">
<term>Antibodies, Bispecific</term>
<term>Haptens</term>
<term>Indium Radioisotopes</term>
<term>Pentetic Acid</term>
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<term>Carcinoembryonic Antigen</term>
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<keywords scheme="MESH" qualifier="blood" xml:lang="en">
<term>Carcinoma, Non-Small-Cell Lung</term>
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<keywords scheme="MESH" qualifier="immunology" xml:lang="en">
<term>Lung Neoplasms</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Radioimmunodetection</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Carcinoma, Non-Small-Cell Lung</term>
<term>Lung Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="radionuclide imaging" xml:lang="en">
<term>Carcinoma, Non-Small-Cell Lung</term>
<term>Lung Neoplasms</term>
<term>Mediastinum</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Carcinoma, Non-Small-Cell Lung</term>
<term>Lung Neoplasms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Humans</term>
<term>Immunohistochemistry</term>
<term>Neoplasm Staging</term>
<term>Sensitivity and Specificity</term>
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<front>
<div type="abstract" xml:lang="en">Immunoscintigraphy (IS) using anti-CEA F(ab')2 monoclonal antibody (MAb) is useful for improving mediastinal staging of nonsmall cell lung cancer (NSCLC), but the technique was limited because of an insufficient contrast between tumor and normal tissues. The aim of this study was to determine if the method could be improved by a two-step method which uses a bispecific anti-CEA/anti-di-DTPA antibody (Bs-MAb) and 111In-labeled di-DTPA-tyrosyl-lysine bivalent hapten.</div>
</front>
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<pubmed>
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<DateCreated>
<Year>1997</Year>
<Month>05</Month>
<Day>05</Day>
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<DateCompleted>
<Year>1997</Year>
<Month>05</Month>
<Day>05</Day>
</DateCompleted>
<DateRevised>
<Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0161-5505</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>38</Volume>
<Issue>4</Issue>
<PubDate>
<Year>1997</Year>
<Month>Apr</Month>
</PubDate>
</JournalIssue>
<Title>Journal of nuclear medicine : official publication, Society of Nuclear Medicine</Title>
<ISOAbbreviation>J. Nucl. Med.</ISOAbbreviation>
</Journal>
<ArticleTitle>Two-step immunoscintigraphy for non-small-cell lung cancer staging using a bispecific anti-CEA/anti-indium-DTPA antibody and an indium-111-labeled DTPA dimer.</ArticleTitle>
<Pagination>
<MedlinePgn>507-11</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="UNLABELLED">Immunoscintigraphy (IS) using anti-CEA F(ab')2 monoclonal antibody (MAb) is useful for improving mediastinal staging of nonsmall cell lung cancer (NSCLC), but the technique was limited because of an insufficient contrast between tumor and normal tissues. The aim of this study was to determine if the method could be improved by a two-step method which uses a bispecific anti-CEA/anti-di-DTPA antibody (Bs-MAb) and 111In-labeled di-DTPA-tyrosyl-lysine bivalent hapten.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Twelve patients were intravenously given a 30 min Bs-MAb infusion (0.1 mg/kg). Four days later, they were injected intravenously with 0.1 microgram/kg hapten labeled with 185 MBq 111In (5 mCi). Images were recorded immediately and 6 and 24 hr after hapten injection. A pharmacokinetic analysis was performed. Surgery was performed 3 days after 111In-hapten injection, and samples of tumor and normal tissues were collected for immunohistochemical and biodistribution studies. IS results were classified as true-positive (TP), false-positive (FP), true-negative (TN) or false-negative (FN) according to the surgical data.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Primary tumors were visualized in nine patients. The contrast was excellent, generally higher than that obtained with direct labeling of anti-CEA. In the mediastinum, IS results were (after surgery) five TN, two TP and one FP. One case remains undetermined. The FP result was due to a Bs-MAb uptake in intrapulmonary lymph nodes. IS was in agreement with preoperative staging in six of these nine patients and discordant in three.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Our study confirmed that the two-step method with a bispecific antibody could greatly improve the performances of IS for lung cancer staging.</AbstractText>
</Abstract>
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<LastName>Vuillez</LastName>
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<DescriptorName MajorTopicYN="N">Mediastinum</DescriptorName>
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<DescriptorName MajorTopicYN="N">Neoplasm Staging</DescriptorName>
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<DescriptorName MajorTopicYN="N">Pentetic Acid</DescriptorName>
<QualifierName MajorTopicYN="Y">diagnostic use</QualifierName>
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